05D0544880 CLIA NUMBER - SOCAL MED LAB

Laboratory Demographics

  • CLIA Code: 05D0544880
  • Facility Name: SOCAL MED LAB
  • Facility Address: 16438 VANOWEN ST, STE 207B
    VAN NUYS, CA
    ZIP 91406
  • Facility Phone: 818 798-3575
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: ROSAURA A. WILLIAMS
  • NPI Number: 1093538332
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D0544880
LAB Type Independent
Facility Name SOCAL MED LAB
Street 16438 VANOWEN ST, STE 207B
City VAN NUYS
State CA
ZIP 91406
Phone 818 798-3575
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Independent
Lab Director ROSAURA A. WILLIAMS

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This page was last updated on: 9/29/2025